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- Title
Homelessness and housing assistance among persons with HIV, and associations with HIV care and viral suppression, New York City 2018.
- Authors
Wiewel, Ellen Weiss; Zhong, Yaoyu; Xia, Qiang; Beattie, Christopher M.; Brown, Paul A.; Farquhar, Pam X.; Rojas, John F.
- Abstract
Objectives: To measure housing assistance and homelessness among persons living with HIV (PLWH) and their association with health. Methods: Exposure categories were: experiencing homelessness (per emergency shelter use or self-report), receiving housing assistance (per housing subsidy) without homelessness, or neither homelessness nor receiving housing assistance. Outcomes were: engagement (≥1 visit) and retention (≥2 visits ≥90 days apart) in HIV-related medical care and one-time (latest viral load) and durable (≥1 viral load test, all suppressed) HIV viral suppression (<200 copies/mL). Among PLWH in New York City (NYC), we calculated and conducted modified Poisson regressions of the four outcomes according to exposure category. Results: During 2018, 45% of NYC's 84,053 PLWH received housing assistance, and 8% experienced homelessness. Relative to homelessness, receipt of assistance without homelessness was associated with 3–7% higher adjusted relative risk (ARR) of engagement and retention in care and 31–64% higher ARR of one-time and durable viral suppression. Relative to not receiving assistance, receipt of assistance without homelessness was associated with 6–18% higher ARR of care and 2–5% lower ARR of viral suppression. Conclusions: Programs promoting housing stability may support HIV care and viral suppression, particularly if preventing homelessness. These may help improve HIV care and suppression rates.
- Subjects
NEW York (N.Y.); HOMELESSNESS; HIV; HOUSING stability; VIRAL load; HOUSING subsidies; POISSON regression
- Publication
PLoS ONE, 2023, Vol 17, Issue 5, p1
- ISSN
1932-6203
- Publication type
Article
- DOI
10.1371/journal.pone.0285765